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Mrs. Taina S. Holly, LPN
Licensed Practical Nurse in Riverdale, Georgia
NPI 1104069517

Taina S. Holly is a Licensed Practical Nurse based in Riverdale, GA. Taina S. Holly practices in Riverdale, GA and has the professional credentials of LPN. The NPI Number for Taina S. Holly is 1104069517 and holds a License No. LPN061999 (Georgia).

The current practice location address for Taina S. Holly is 1234 Elgin Way, Riverdale, GA and can be reached out via phone at 770-629-1565.

Location: 1234 Elgin Way, Riverdale, GA, 30296
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104069517
Provider Name
Taina S. Holly
Credential
LPN
Provider Entity Type
Individual
Gender
Female
Address
1234 Elgin Way, Riverdale, GA, 30296
Phone Number
770-629-1565
Fax Number
Provider Enumeration Date
04/15/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
031012479 01 GA GA OFFICE OF REG. SERVICE
institution
Provider Business Practice Location Address Details
Address
1234 Elgin Way
City
Riverdale
State
Georgia
Zip
30296
Phone Number
770-629-1565
Fax Number
person
Provider Business Mailing Address Details
Address
1234 Elgin Way
City
Riverdale
State
Georgia
Zip
30296
Phone Number
770-629-1565
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
LPN061999 (Georgia)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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